Individual provider Active NPI

Jenna Ashley Donath, M.A. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Jamaica, NY
National Provider Identifier
1669729547
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022034-1 Issued in NY
Practice address
14210 Linden Blvd
Jamaica, NY 11436-1036
Phone
(718) 558-2060
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 022034-1 NY Primary

Addresses

Primary practice location

14210 Linden Blvd
Jamaica, NY 11436-1036

Mailing address

2494 Horace CT
Bellmore, NY 11710-4810
Phone (516) 783-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
022034-1NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1669729547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 HORACE CT",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104810",
            "telephone_number": "516-783-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361036",
            "telephone_number": "718-558-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATH",
        "first_name": "JENNA",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022034-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.